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7. The company shall provide the PLHCP with a copy of this written respiratory protection program and a copy of the OSHA regulations if they do not already have them. 8. In determining the employee's ability to use a respirator,the company shall obtain a written recommendation regarding the employee's ability to use the respirator from the PLHCP. The recommendation shall provide only the following information: • Any limitations on respirator use related to the medical condition of the employee, or relating to the workplace conditions in which the respirator will be used, including whether or not the employee is medically able to use the respirator; • The need, if any,for follow-up medical evaluations;and • A statement that the PLHCP has provided the employee with a copy of the PLHCP's written recommendation. 9. If the respirator is a negative pressure respirator and the PLHCP finds a medical condition that may place the employee's health at increased risk if the respirator is used, the company shall provide a powered air purifying respirator (PAPR) if the PLHCP's medical evaluation finds that the employee can use such a respirator; if a subsequent medical evaluation finds that the employee is medically able to use a negative pressure respirator, then we are no longer required to provide a PAPR. 10. The company shall provide additional medical evaluations that comply with the requirements of this section if: • An employee reports medical signs or symptoms that are related to ability to use a respirator; • A PLHCP, supervisor, or the respirator program administrator informs the employer that an employee needs to be reevaluated; • Information from the respiratory protection program, including observations made during fit testing and program evaluation, indicates a need for employee reevaluation;or • A change occurs in workplace conditions (e.g., physical work effort, protective clothing, temperature) that may result in a substantial increase in the physiological burden placed on an employee. Fit Testing 1. The company shall ensure that an employee using a tight-fitting face piece respirator is fit tested prior to initial use of the respirator, whenever a different respirator face piece (size, style, model or make) is used, and at least annually thereafter. 2. We shall conduct an additional fit test whenever the employee reports, or the employer, PLHCP, supervisor, or program administrator makes visual observations of, changes in the employee's physical condition that could affect respirator fit. Such conditions include, but are not limited to,facial scarring, dental changes, cosmetic surgery, or an obvious change in body weight. 3. If after passing a QLFT or QNFT, the employee subsequently notifies the program administrator, supervisor, or PLHCP that the fit of the respirator is unacceptable, the employee shall be given a reasonable opportunity to select a different respirator face piece and to be retested. 4. The fit test shall be administered using an OSHA-accepted QLFT or QNFT protocol. Usage Rules 68